The Anti-Obesity and Health-Promoting Effects of Tea and Coffee

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Physiol. Res. 70: 161-168, 2021                                                           https://doi.org/10.33549/physiolres.934674

                                                                  REVIEW
                        This paper is dedicated to the 70th anniversary of the founding
                      of Physiologia Bohemoslovaca (currently Physiological Research)

The Anti-Obesity and Health-Promoting Effects of Tea and Coffee

Alexander V. SIROTKIN1, Adriana KOLESAROVA2
1
 Faculty of Natural Science, Constantine the Philosopher University in Nitra, Nitra, Slovak
Republic, 2Faculty of Biotechnology and Food Sciences, Slovak University of Agriculture in Nitra,
Nitra, Slovak Republic

Received March 7, 2021
Accepted March 18, 2021

Summary                                                                  Introduction
This paper reviews provenance, chemical composition and
properties of tea (Camelia sinensis L.) and coffee (Coffee arabica,                Tea and coffee are the most popular drinks, the
L. and Coffea caniphora, L.), their general health effects, as well      most highly traded and valued commodities that
as the currently available knowledge concerning their action on          originates from the developing world. Their global
fat storage, physiological mechanisms of their effects, as well as       consumption is permanently increasing due to their
their safety and recommended dosage for treatment of obesity.            sensory and health properties. They can help in
Both tea and coffee possess the ability to promote health and to         preventing and combatting obesity – the current world’s
prevent, to mitigate and to treat numerous disorders. This ability       pandemics. World’s leading cause of death are diseases
can be partially due to presence of caffeine in both plants.             related to metabolic dysfunctions. The most significant in
Further physiological and medicinal effects could be explained by        this aspect is overweight, which affects 1.9 billion of
other molecules (theaflavins, catechins, their metabolites and           people around the world, of whom 650 millions are obese
polyphenols in tea and polyphenol chlorogenic acid in coffee).           (Haider and Larose 2019). Obesity and overweight can
These plants and plant molecules can be efficient for prevention         facilitate diabetes, cause inflammations, cardiovascular
and treatment of numerous metabolic disorders including                  and reproductive diseases as well as cancer (Skrypnik
metabolic syndrome, cardiovascular diseases, type 2 diabetes             et al. 2017, Sung et al. 2018). In addition to these health
and obesity. Both plants and their constituents can reduce fat           risks, they are a cause of mobility issues, as well as
storage through suppression of adipocyte functions, and support          problems in social and sexual relationships. They lower
of gut microbiota. In addition, tea can prevent obesity via              self-esteem and the overall quality of life. They also lead
reduction of appetite, food consumption and food absorption in           to considerable economic losses. Health care concerning
gastrointestinal   system   and   through   the   changes    in   fat    patients with obesity incurs at least 25 % higher
metabolism.                                                              expenditures and causes losses of 1-3.6 % of the gross
                                                                         domestic product of a country (Mohamed et al. 2014).
Key words                                                                Prevention and treatment of diseases using natural
Obesity • Adipocyte • Tea • Coffee • Metabolism • Food                   products and functional food of plant origin have always
consumption                                                              been the basis of folk and oriental medicine. Nowadays,
                                                                         they are experiencing a renaissance and their popularity is
Corresponding author                                                     growing even in the official medicine and self-treatment.
A. V. Sirotkin, Dept. Zoology and Anthropology, Constantine the          Coffee and tea could be promising candidates for
Philosopher University in Nitra, Tr. A. Hlinku 1, 949 74 Nitra,          prevention and treatments of various diseases including
Slovak Republic. E-mail: asirotkin@ukf.sk                                obesity.

PHYSIOLOGICAL RESEARCH • ISSN 1802-9973 (online)
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162   Sirotkin and Kolesárová                                                                                         Vol. 70

Provenance and properties                                        Positive effects on human health

Tea                                                              Tea
         Tea tree (Camelia sinensis, L.) is a bush or                      Polyphenols of green tea are efficient against
a small tree from the Theaceae family grown in tropic            chronic inflammatory conditions of liver, gastrointestinal
and subtropical regions around the world. In Southeast           tract, and against neurodegenerative diseases (Oz 2017).
Asia, the most common cultivar is Camellia sinensis              Anti-inflammatory effect of polyphenols can be
sinensis, in India and on Ceylon - Camellia sinensis             explained by their action on gastrointestinal microbiota,
assamica. Based on the processing method (fermentation           which is responsible for immune responses (Yang et al.
in the presence of bacteria or oxidation) and the taste,         2016).
colour, aroma and biological effect of the tea, we                         Tea molecules at the right ratio counteract
recognize white, green, matcha, black, oolong, and Pu-           anxiety and stress (Unno et al. 2018). A link has been
erh tea (Rothenberg et al. 2018, Tang et al. 2019).              determined between green tea consumption and memory
         Despite most of Europe and the New World                of older men. It is peculiar that the memory of older
being accustomed to black tea, more antioxidants and             women was not affected (Xu et al. 2018).
tannins are present in non-oxidated and non-fermented                      Tea catechins can have an anti-tumour effect.
white and green teas (Prasadh et al. 2019) and they also         They inhibit multiplication of cells, trigger their apoptosis
have a stronger benefit to health.                               (death) and autophagy and reduce vitality of cancer cells
         From the standpoint of biology and medicine,            (Singh et al. 2018). They can even enhance the
the most important are tea metabolites – alkaloid                therapeutic effects of medicine against tumour diseases
theobromine, its metabolite caffeine (1,3,7 trimethyl-           and simultaneously mitigate their adverse side-effects
xantin) and polyphenols (theaflavins), catechins –               (Cao et al. 2016, Bedrood et al. 2018).
epigallocatechin, epicatechin and their metabolites                        Most studies carried out on animals and humans
epigallocatechin      gallate,      epicatechin       gallate.   report that tea (extract from tea tree leaves) reduces
gallocatechins and gallocatechin gallate. Gallates contain       manifestations of metabolic syndrome, diabetes and
biologically active ethers of gallic acid. Tea contains also     cardiovascular diseases (including reducing the risk of
smaller amounts of other biologically active polyphenols         heart attack) (Yang et al. 2018). Other studies
– quercetin, kaempferol and myricetin. Black tea contains        demonstrated positive effect of tea on decreasing insulin
also    polyphenolic compounds            theaflavins     and    in blood, but not on the concentration of glucose,
thearubigins (Saeed et al. 2017, Khan and Mukhtar, 2018,         triacylglycerols, fatty acids and hormones of adipose
Rothenberg et al. 2018, Tang et al. 2019). In addition to        tissue (Mielgo-Ayuso et al. 2014, Li et al. 2016). Yang
that, tea contains microelements borate, cobalt, copper,         et al. (2016), however, reported that the reduced glucose
iron, manganese, molybdenite and lead (Karak et al.              levels in blood can be caused by the action of green tea
2017), pigments, polysaccharides, alkaloids, free amino          polyphenols on glucose production in liver.
acids, and saponins (Tang et al. 2019).
                                                                 Coffee
Coffee                                                                     Clinical studies demonstrated that the ability of
          Coffee plant (Coffea spp.) is a short tree or          coffee to reduce blood sugar is not dependent on caffeine
a bush native to Africa, the fruits of which are red coffee      but on its other components (Tunnicliffe and Shearer
“cherries.” For preparation of drinks, two coffee species        2008). This effect probably comes from chlorogenic acid.
are used – Coffee arabica, L. (Arabica coffee) and Coffea        Chlorogenic acid has antioxidant and anti-inflammatory
caniphora, L. (Robusta coffee). The best-known                   effects, it can affect metabolism of glucose and lipids.
molecule in this fruit is alkaloid methylxanthine caffeine       Thanks to its antioxidant, anti-inflammatory and
(1,3,7 trimethylxantin) – a toxin, which protects the plant      metabolic effects, coffee and its molecule chlorogenic
from herbivores. In addition to caffeine, coffee fruit           acid have a preventive and therapeutic influence against
contains alkaloid trigonelline, polyphenol chlorogenic           diabetes, cardiovascular diseases, tumours, inflammation,
acid, ferulic acid, diterpenes cafestrol and kahweol,            lipidation of liver and Parkinson disease (Ludvig et al.
melanoidins and coffee lipids and microelements                  2014, Tajik et al. 2017, Islam et al. 2018, Perumpail et al.
(Ludwig et al. 2014, Islam et al. 2018, Stefanello et al.        2018). Their consumption can be recommended not only
2018).                                                           to healthy people but also to people with high cholesterol
2021                                                                                  Tea and Coffee Against Obesity   163

and blood glucose, with hypertension, metabolic                          digestion. For example, they produce short fatty
syndrome (Sarriá et al. 2018, Xie et al. 2018) or diabetes               acids, which increase the rate of lipid
(Tunnicliffe and Shearer 2008). Anti-diabetic effects                    metabolism (Yang et al. 2016, Rothenberg et al.
were determined not only for chlorogenic acid but also                   2018),
for other acid components of coffee – caffeine and ferulic          • they inhibit the differentiation and proliferation
acid (Islam et al. 2018).                                                of preadipocytes, (Pan et al. 2016),
          Large-scale studies showed a correlation                  • they reduce lipid production (Huang et al. 2014,
between the habit of drinking coffee and reduced                         Yang et al. 2016),
mortality linked to cardiovascular diseases, reduced risk           • they promote lipolysis and lipid metabolism
of heart attacks and diabetes. Contrary to a popular belief,             (Pan et al. 2016, Yang et al. 2016),
drinking coffee was not linked to increased occurrence of           • they stimulate conversion of white adipose
cardiac arrhythmias (Bhatti et al. 2013). Thanks to the                  tissue to brown, increase its oxidation, burning
ability of coffee’s antioxidants to bind free radicals                   and expenditure of energy through heat
(Yashin et al. 2013) and to reduce diseases and mortality,               production (Huang et al. 2014, Silvester et al.
coffee earned the title “longevity beverage” (Bhatti et al.              2018, Willems et al. 2018),
2013).                                                              • they promote fecal lipid excretion (Huang et al.
                                                                         2014).
Anti-obesity effects                                                     However, it is necessary to take into
                                                               consideration that the effect of green tea and its
Tea                                                            molecules manifests only when large doses are
         All performed studies (with the exception of          consumed. Vázquez Cisneros et al. (2017) recommended
Mielgo-Ayuso et al. 2014) validated the ability of tea and     a daily dose of 100-460 mg of epigallocatechin gallate
its components to reduce fat stores and body weight of         plus 80-300 mg of caffeine a day over the course of 12
humans (Huang et al. 2014, Janssens et al. 2016, Li et al.     and more weeks. Yang et al. (2016, 2018) recommended
2016, Pan et al. 2016, Vázquez Cisneros et al. 2017,           3-4 cups of strong tea (600-900 mg of catechins) a day
Rothenberg et al. 2018, Yang et al. 2016, 2018).               for at least 8 weeks minimum (Yang et al. 2018).
         This effect was achieved thanks to polyphenols
(Pan et al. 2016, Silvester et al. 2019). According to the     Coffee
existing data, epigallocatechin and caffeine from tea                    The results of in vitro and animal studies suggest
leaves have independent mechanisms of effect but               that coffee can reduce storing of fat in the body by
synergic effect on weight loss (Janssens et al. 2016,          several mechanisms:
Türközü and Tek 2017, Vázquez Cisneros et al. 2017).                • It inhibits multiplication of adipocytes (Pan
         According to some sources, black tea                            et al. 2016),
polyphenols are more efficient than green tea polyphenols           • It influences transcription factors and other
(Pan et al. 2016), but other authors report evidence of                  proteins involved in production of lipids in these
stronger effect of green tea (Yang et al. 2016).                         cells (Tamura 2020),
         It is presupposed that tea molecules reduce fat            • Through action on gastrointestinal microbiota,
stores through several pathways (Huang et al. 2014, Pan                  which can also affect obesity (Pan et al. 2016).
et al. 2016, Yang et al. 2016, Rothenberg et al. 2018,                   Thanks to these effects, coffee can reduce fat
Silvester et al. 2018, Willems et al. 2018):                   stores in obese animals and humans (Hasani-Ranjbar
     • they influence neuroendocrine metabolic                 et al. 2009, Onakpoya et al. 2011, Pan et al. 2016, Ríos-
          regulators of appetite and reduce food               Hoyo and Gutiérrez-Salmeán 2018, Tabrizi et al. 2019,
          consumption (Huang et al. 2014),                     Tamura, 2020) and reduce body weight of humans
     • they reduce emulsion and absorption of lipids           (Hasani-Ranjbar et al. 2009, Onakpoya et al. 2011, Pan
          and protein in gastrointestinal system and           et al. 2016, Tabrizi et al. 2019). A study of Sarriá et al.
          consequently reduce calorie intake (Huang et al.     (2018) determined a positive effect of green and roasted
          2014, Pan et al. 2016),                              coffee on metabolic indexes but not on body weight of
     • they act on gastrointestinal microbiota (lacto-         patients.
         and bifidobacteria), which are responsible for
164   Sirotkin and Kolesárová                                                                                      Vol. 70

Possible adverse side-effects                                   an ingredient in food with added value. All types of tea
                                                                have a positive effect on health and weight reduction. In
Tea                                                             medication, tea can be substituted by its functional
          Tea consumption at a dose of 3 cups a day             components – epigallocatechin gallate and caffeine mixed
(Karak et al. 2017) or epigallocatechin gallate at a dose of    at a given ratio.
300 mg a day over the course of 12 weeks (Mielgo-                        However, it is necessary to remember that the
Ayuso et al. 2014), or 704 mg epigallocatechin gallate          effects of tea will manifest only at large doses (3-4 cups
a day (Hu et al. 2018) had no significant adverse side-         of strong tea a day, which represents 1-2 g of tea
effects. No cyto- and genotoxic, mutagenic, carciogenic         containing 100-600 mg polyphenols) and long-term use.
and embryotoxic effects of green tea were determined            Minimum length of the treatment is 8 weeks. For those
either (Bedrood et al. 2018).                                   not used to drink large amounts of tea, there is
          Consumption of tea polyphenols can have               an alternative – condensed tea or its pure components.
a toxic effect on liver (Mazzanti et al. 2015) especially       However, in that case its adverse side-effects on liver and
when consumed on empty stomach (Bedrood et al. 2018),           reproductive system cannot be excluded.
or as pills rather than as beverage (Ho et al. 2018). Some
studies reported the ability to caffeine to affect negatively   Coffee
the reproductive system – damage DNA, reduce sperm                       Scientific results validate coffee extract’s
capacity and prolong pregnancy (Ricci et al. 2017).             application for weight loss and treatment of some
                                                                metabolic disorders (diabetes, obesity, etc.). Coffee has
Coffee                                                          a number of other positive physiological effects on health
         Caffeine in large doses can cause anxiety,             and longevity. Adverse side-effects of coffee are not
insomnia, loss of calcium from the body and consequent          serious and they manifest only when consumption is
increased risk of fractures, especially in people with          excessive. This knowledge allows to recommend coffee
osteoporosis (Bhatti et al. 2013). Possible negative            extract as an ingredient in a beverage intended for weight
effects of caffeine on brain development and                    loss.
development of reproductive organs in embryos and                        At present, the market offers numerous kinds of
children have not been excluded (Islam et al. 2018).            coffee. Naturally, a question arises as to which are the
There are indications that caffeine and coffee can damage       most efficient for weight reduction and at what dose.
sperm and prolong pregnancy (Ricci et al. 2017).
Cafestrol and kahweol can increase blood cholesterol            Is green coffee better for weight loss then roasted?
levels (de Roos et al. 1999). Despite these findings, large-             During roasting of green coffee, so called
scale studies found no statistically significant effect of      Mallard Reaction metabolizes chlorogenic acid to
coffee and caffeine consumption on the occurrence of            antioxidant melanoid, which is responsible for the
health complications in adults, pregnant women,                 biological activity of this acid (Tunnicliffe and Shearer
adolescents and children (Doepker et al. 2018) and              2008, Dybkowska et al. 2017). Green coffee contains
conversely, they determined positive effect on health and       fewer antioxidants and polyphenols than roasted
longevity (see above).                                          (Odžaković et al. 2016). This means that roasting
                                                                increases rather than reduces the metabolic effects of
General evaluation and recommendations                          coffee.

Tea                                                             Is decaffeinated coffee better for weight loss?
         Tea belongs to humankind’s favourite                            Decaffeination decreases the antioxidant activity
beverages. It has many positive effects on health. It is        of coffee (Yashin et al. 2013). Tunnicliffe and Shearer
applied in prevention and treatment of a number of              (2008) proved that positive effects of coffee are not
diseases. In Japan, green tea is added to everything            dependent on caffeine at all but instead on other
including desserts and ice cream. Influence of tea on           components. Therefore, in relation to weight loss the
body weight reduction is conclusively validated by              presence or absence of caffeine in your coffee makes no
science. Considering its effects, it is possible to             difference.
recommend it as a method of weight loss stimulation or
2021                                                                                   Tea and Coffee Against Obesity   165

How much coffee to drink for weight reduction?                 besides caffeine, can be explained by presence of
         One strong cup of coffee contains 60 mg of pure       theaflavins, catechins, their metabolites and polyphenols
chlorogenic acid. This dose has essentially no effect on       quercetin, kaempherol and myricetin, whilst the
absorption of chlorogenic acid into the body (Williamson       physiological effects of coffee are probably related to
et al. 2011). Metabolic effect is achieved at daily intake     caffeine and polyphenol chlorogenic acid (see above).
of minimum 510.6 mg of chlorogenic acid and 121.2 mg           Due to anti-oxidant and anti-inflammatory properties
of caffeine (Sarriá et al. 2018). In Canada, considered        these plant molecules can be efficient for prevention and
a safe dose for adults are 400 mg of caffeine for one-time     treatment of numerous metabolic disorders including
dose (Doepker et al. 2018). Drinking 5 cups of coffee          metabolic syndrome, cardiovascular diseases, type 2
a day had only positive effects on health (Carlström et al.    diabetes and obesity. Both plants and their constituents
2018).                                                         can prevent and reduce fat storage through suppression of
         This evidence speaks in favor of roasted coffee       adipocyte functions and support of gut microbiota. In
extract with about 400 mg of caffeine and/or 510 mg of         addition, tea can prevent obesity via reduction of appetite
chlorogenic acid, which corresponds 3-5 cups of strong         and reduce food consumption and food absorption in
coffee a day to be used for weight reduction. This amount      gastrointestinal system and changes in fat metabolism.
can be considered a metabolically efficient as well as safe             It is necessary to keep in mind, that the anti-
dose. For those who cannot manage so many coffees              obesity effects of both tea and coffee can be expressed
a day, coffee can be replaced by an adequate amount of         only by intensive consumption of large amounts
chlorogenic acid and caffeine.                                 (3-6 cups of strong drink daily).

Conclusion                                                     Conflict of Interest
                                                               There is no conflict of interest.
         Both tea and coffee possess the ability to
promote health and longevity, as well as to prevent, to        Acknowledgements
mitigate and to treat numerous disorders including             This work was supported by the Slovak Research and
obesity and obesity-related illnesses (Bhatti et al. 2013).    Development Agency (APVV) under the contract APVV-
This ability can be partially due to presence of caffeine in   15-0296, APVV-18-0312 and by the Slovak Grant
both plants. Further physiological and medicinal effects       Agency of the Ministry of Education, Science and Sport
could be explained by other molecules, which are               and the Slovak Academy of Science (VEGA), project
different in these plants, but which can have common           VEGA 1/0392/17, VEGA 1/0266/20.
antioxidant properties. The physiological effects of tea,

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168   Sirotkin and Kolesárová                                                                                Vol. 70

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